NPI 1083940837

Southwest Sports Medicine & Orthopaedic Surgery Clinic

Organisation Orthopaedic Surgery Physician Mesa, AZ

Practice location

Address: 4566 E. Inverness Rd. STE. 101, Mesa, AZ 85206
Phone: (480) 763-5950
Fax: (480) 763-1375
Mailing address: 8129 N. 87th Place, Scottsdale, AZ 85258

Authorised official

Name: Angelo J. Mattalino
Title: Owner
Phone: (480) 860-2618

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 3696 (AZ)

Other Orthopaedic Surgery providers in Arizona →

Registry record

NPI: 1083940837
Entity type: Organization
NPI issued: 29 Oct 2009
Record last updated: 29 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.